caa a22 4500 445311339 CHVBK 20180317142631.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00404-010-1678-8 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1678-8 Abdominal, vaginal and total laparoscopic hysterectomy: perioperative morbidity [Elektronische Daten] [Melike Doğanay, Yasemin Yildiz, Esra Tonguc, Turgut Var, Rana Karayalcin, Ozlem Eryιlmaz, Orhan Aksakal] Purpose: The aim of our retrospective study was to assess and to compare the surgical complications of hysterectomy regarding the choice of procedure [abdominal (AH), vaginal (VH), and total laparoscopic hysterectomy (TLH)]. Methods: A total of 6,480 patient charts undergone hysterectomy were retrospectively analyzed. Data including transfusion, bladder, ureteral and bowel injury, cuff dehiscence, pulmoner embolus, febrile morbidity, hematoma, reoperation, pelvic wall problems were gathered. The Chi-square test and Student's t test were used in the statistical analysis. Results: The most common perioperative complication was blood transfusion which occurred in 114 patients (2.6%). VH patients required significantly less blood transfusion than AH (2.1, 2.6%, respectively). AH had significantly more bladder injury than VH (0.7, 0.4%, respectively). AH had significantly more ureteral injury than VH (0.2, 0.1%, respectively). AH had the same bowel injury as VH (0.1%). AH and VH necessitated significantly more reoperation than TLH (0.4, 0.2, 0.0%, respectively). Conclusion: To our study, VH ensures less complication rates than AH. In experienced centers, VH can be a reliable alternative to AH. Controlled prospective studies with large patient volumes are required to compare TLH and VH according to complication rates. Springer-Verlag, 2010 Hysterectomy nationallicence Complication nationallicence Laparoscopic nationallicence Vaginal nationallicence Abdominal nationallicence Doğanay Melike Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut Yildiz Yasemin Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut Tonguc Esra Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut Var Turgut Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut Karayalcin Rana Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut Eryιlmaz Ozlem Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut Aksakal Orhan Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut Archives of Gynecology and Obstetrics Springer-Verlag 284/2(2011-08-01), 385-389 0932-0067 284:2<385 2011 284 404 https://doi.org/10.1007/s00404-010-1678-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1678-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Doğanay Melike Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Yildiz Yasemin Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Tonguc Esra Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Var Turgut Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Karayalcin Rana Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Eryιlmaz Ozlem Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Aksakal Orhan Department of Obstetrics and Gynecology, Zekai Tahir Burak Mother Health Training and Research Hospital, Ankara, Turkey aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/2(2011-08-01), 385-389 0932-0067 284:2<385 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer